Tag: Urszula Kaźmierczak

The effectiveness of conservative methods of rehabilitation (PT) in treatment of lymphoedema after mastectomy operation

Dorota Hanasz-Sokołowska, Urszula Kaźmierczak, Wojciech Hagner, Magdalena Kaźmierczak

Dorota Hanasz-Sokołowska, Urszula Kaźmierczak, Wojciech Hagner, Magdalena Kaźmierczak – The effectiveness of conservative methods of rehabilitation (PT) in treatment of lymphoedema after mastectomy operation. Fizjoterapia Polska 2006; 6(1); 67-72

Abstract

Background. The aim of our research was to evaluate the effectivness of two methods of treatment of the lymphoedema after mastectomy operation. Method number 1 – classic method in treatment of lymphoedema after mastectomy operation. Treatment by using: lymphatic drainage, pneumatic massage, exercises in series 10/ 3 times a week. Method number 2 – complex methods that helps in restoration of patency: lymphatic drainage, pneumatic massage, exercises, bandaimy the upper limb, where lymphoedema appeared in series 10, 5 times a week. The examination aim was to evaluate subside of pain druing process of decreasing of lymphoedema. Material and methods. In our research we examinated patients with lymphoedema of upper limb after mastectomy operation, who were treated in Wojewódzkie Centrum Onkologii in Gdansk. Patients were devided into two groups of 15 patients each. In first group patients were treated in serie of 10, 3 times a week by classic method used: lymphatic drainage, pneumatic massage, exercises. In second group patients were treated by complex method of treatment, in series of 10, 5 times a week, by using classic treatment and adding the bandainy of upper limb, were lymphoedema appeared after operation. Results. Treatment of lymphoedema by using two methods had influence on our final results. Lymphoedema in group number 1, who were treated by classic method was located on level of forearm and elbow point. Lymphoedema in group number 2, who were treated by complex method was located over decvanon of vinov bone. Conclusions. Our research shows that conservative methods of rehabilitation had influence in process of decreasing lymphoedema, also helped to relieve pain in upper limb. The complex method is very effective treatment in lymphotic restor patency process.

Key words:
mastectomy, lymphoedema, rehabilitation
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Improvement of spinal joint mobility and relief of low back pain by soft tissue massage of the spine

Maciej Szubzda, Urszula Kaźmierczak, Wojciech Hagner, Maciej Dzierżanowski

Maciej Szubzda, Urszula Kaźmierczak, Wojciech Hagner, Maciej Dzierżanowski -Improvement of spinal joint mobility and relief of low back pain by soft tissue massage of the spine. Fizjoterapia Polska 2007; 7(2), 165-170

Abstract

Background. The aim of this paper is an evaluation of the effect of remedial massage on the improvement of mobility and reduction of pain in the lower back. Material and method. The study enrolled 25 outpatients treated at the Therapeutic Mobilization Laboratory, Ministry of Internal Affairs and Administration Medical Centre in Olsztyn. Of the 25 patients, 13 were diagnosed with cervical discopathy, including 4 with brachial neuralgia (with pain radiating to the arm in 2 patients and to the forearm in the other two), and 12 with lumbar discopathy, including 8 with pain radiating to the foot. Sources of data comprised linear measurements of spine mobility and a modified Melzack Pain Questionnaire. The data were obtained on the first medical day and at the end of a course of 10 procedures. Dry massage was applied to the entire spinal column with heavier pressure on the area where the pain originated. Results. The results indicate a statistically significant increase in mean spinal range of movement after the course of massage procedures. After the massage treatment, a definite change occurred in the location of pain in the patients with left-sided and right-sided sciatic neuralgia. There was also a definite improvement in the patients with brachial neuralgia. Conclusions. The massage treatment brought about a reduction in the pain and altered its quality.

Key words:

massage, spine mobility, pain syndrome

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Rehabilitation of laryngectomized patients – evaluation of physical fitness and capacity

Urszula Kaźmierczak, Wojciech Hagner, Jan Talar

Urszula Kaźmierczak, Wojciech Hagner, Jan Talar – Rehabilitation of laryngectomized patients – evaluation of physical fitness and capacity. Fizjoterapia Polska 2007; 7(4); 431-437

Abstract
Background. Patients after total laryngectomy are usualy less physically active than other groups of patients treated for cancer. The limitation of physical activity after laryngectomy is the result of the inability to control the sensation of apparent dyspnoea and inability to communicate by means of articulate speech, fear of recurrence and of not being accepted by the family or other relations. Early rehabilitation is very important after surgery for cancer, especially when the treatment cripples the patient. Laryngectomy leads to severe disability, depriving the patients of their speech organ, and is associated with various functional postoperative complications. Material and methods. A total of 30 radical laryngectomy patients (4 women and 26 men) aged 48-74 years (mean 61 years) were enrolled for a rehabilitation programme. During the rehabilitation programme, patients were subjected to the Harvard Step Test modified by Szyszko-Wydra. Results. After the rehabilitation treatment, patients in all age groups demonstrated improvement in physical fitness (see figure in text). The level of physical capacity before the treatment was very low, improving to average or good as a result of rehabilitation. Conclusions. The results of the study show that the rehabilitation programme was instrumental in effecting a significant improvement of the patients’ overall physical capacity. Group rehabilitation of patients suffering from the same condition increases the likelihood of achieving a higher level of physical capacity. This is attributable to the positive effect of the daily exercises, especially respiratory exercises to strengthen the diaphragm, which are helpful in making sonorous burps and learning oesophageal speech. Exercise also helps to eliminate the feeling of embarrassment and promotes full acceptance and emotional support within the group.
Key words:
rehabilitation, laryngectomy, evaluation of physical fitness
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